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Deutsche Zeitschrift für Onkologie 2015; 47(4): 160-164
DOI: 10.1055/s-0035-1547582
Forschung
© Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG

Yoga als begleitende Intervention während der Chemotherapie: Welche positiven Effekte sind belegt?

Désirée Lötzke
Further Information

Publication History

Publication Date:
21 December 2015 (online)

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Zusammenfassung

Die Integration von körperlicher Aktivität in das Behandlungskonzept von Tumorpatientinnen und -patienten zur Reduzierung von Begleitsymptomen ist durch eine Anzahl vielversprechender Studienergebnisse gerechtfertigt. Aufgrund vielfach wahrgenommener Barrieren sportlich aktiv zu sein, müssen alternative attraktive Bewegungsangebote diskutiert werden. Durch die gleichzeitige Ansprache von Körper, Geist und Seele haben Yoga-Interventionen das Potenzial, der Vielschichtigkeit und Multidimensionalität von Nebenwirkungen der Tumorbehandlungen gerecht zu werden. Die geringe Anzahl von Studien, die die Effektivität von Yoga als ergänzende Intervention während der Chemotherapie untersuchten, weist auf positive Effekte im Hinblick auf Fatigue, Stress, Angst, Depression, Kognition, Beweglichkeit, Balance, Übelkeit, Schlafstörungen und die Lebensqualität hin. Die Datenlage ist jedoch unzureichend, um abschließende Empfehlungen aussprechen zu können.

Summary

Evidence exists for the integration of physical activity in the treatment concept for tumor patients to reduce attendant symptoms of conventional therapy. However, patients often perceive barriers to be physically active. Therefore, attractive alternative interventions need to be discussed. Yoga has the potential to affect the multidimensional side effects of tumor treatment because it may influence patients‛ body, mind and spirit simultaneously. The small number of studies, that examined the effectiveness of yoga as a supportive intervention during chemotherapy, indicates positive effects in terms of fatigue, stress, anxiety, depression, cognition, flexibility, balance and quality of life. There are no final recommendations for the integration of yoga into the therapy concept of tumor patients during chemotherapy since current research is insufficient.

Schlüsselwörter

Yoga - Mind-Body - Krebs - ergänzende Therapie - Chemotherapie

Keywords

yoga - mind-body - cancer - supportive therapies - chemotherapy
 

  • Literatur

  • 1 Banerjee B, Vadiraj HS, Ram A, Rao R, Jayapal M, Gopinath KS, Ramesh BS, Rao N, Kumar A, Raghuram N, Hegde S, Nagendra HR, Hande MP. Effects of an Integrated Yoga Program in Modulating Psychological Stress and Radiation-Induced Genotoxic Stress in Breast Cancer Patients Undergoing Radiotherapy. Integr Cancer Ther 2007; 6: 242-250
    CrossrefPubMedGoogle Scholar
  • 2 Baumann FT, Bloch W, Weissen A, Brockhaus M, Beulertz J, Zimmer P, Streckmann F, Zopf EM. Physical Activity in Breast Cancer Patients during MedicalTreatment and in the Aftercare - a Review. Breast Care 2013; 8: 330-334
    CrossrefPubMedGoogle Scholar
  • 3 Bicego D, Brown K, Ruddick M, Storey D, Wong C, Harris SR. Effects of Exercise on Quality of Life in Women Living with Breast Cancer: A Systematic Review. Breast J 2009; 15: 45-51
    CrossrefPubMedGoogle Scholar
  • 4 Bower JE, Woolery A, Sternlieb B, Garet D. Yoga for cancer patients and survivors. Cancer Control 2005; 12: 165
    PubMedGoogle Scholar
  • 5 Broad WJ. The Science of Yoga: The Risks and the Rewards. New York: Simon & Schuster; 2012
    Google Scholar
  • 6 Buffart LM, van Uffelen JG, Riphagen II, Brug J, van Mechelen W, Brown WJ, Chinapaw MJ. Physical and psychosocial benefits of yoga in cancer patients and survivors, a systematic review and meta-analysis of randomized controlled trials. BMC Cancer 2012; 12: 559
    CrossrefPubMedGoogle Scholar
  • 7 Chakrabarty J, Vidyasagar M, Fernandes D, Joisa G, Varghese P, Mayya S. Effectiveness of pranayama on cancer-related fatigue in breast cancer patients undergoing radiation therapy: A randomized controlled trial. Int J Yoga 2015; 8: 47-53
    CrossrefPubMedGoogle Scholar
  • 8 Chandwani KD, Perkins G, Nagendra HR, Raghuram NV, Spelman A, Nagarathna R, Johnson K, Fortier A, Arun B, Wei Q, Kirschbaum C, Haddad R, Morris GS, Scheetz J, Chaoul A, Cohen L. Randomized, Controlled Trial of Yoga in Women With Breast Cancer Undergoing Radiotherapy. J Clin Oncol 2014; 32: 1058-1065
    CrossrefPubMedGoogle Scholar
  • 9 Chandwani K, Thornton B, Perkins G, Arun B, Raghuram N, Nagendra HR, Wei Q, Cohen L. Yoga improves quality of life and benefit finding in women undergoing radiotherapy for breast cancer. J Soc Integr Oncol 2010; 8: 43-55
    PubMedGoogle Scholar
  • 10 Chaoul A, Milbury K, Sood AK, Prinsloo S, Cohen L. Mind-body practices in cancer care. Curr Oncol Rep 2014; 16: 417
    CrossrefPubMedGoogle Scholar
  • 11 Cohen L, Warneke C, Fouladi RT, Rodriguez MA, Chaoul-Reich A. Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma. Cancer 2004; 100: 2253-2260
    CrossrefPubMedGoogle Scholar
  • 12 Côté A, Daneault S. Effect of yoga on patients with cancer Our current understanding. Can Fam Physician 2012; 58: e475-e479
    PubMedGoogle Scholar
  • 13 Cramer H, Lange S, Klose P, Paul A, Dobos G. Yoga for breast cancer patients and survivors: a systematic review and meta-analysis. BMC Cancer 2012; 12: 412
    CrossrefPubMedGoogle Scholar
  • 14 Cramer H, Lauche R, Dobos G. Characteristics of randomized controlled trials of yoga: a bibliometric analysis. BMC Complement Altern Med 2014; 14: 328
    CrossrefPubMedGoogle Scholar
  • 15 Culos-Reed SN, Mackenzie MJ, Sohl SJ, Jesse MT, Zahavich ANR, Danhauer SC. Yoga & Cancer Interventions: A Review of the Clinical Significance of Patient Reported Outcomes for Cancer Survivors. Evid Based Complement Alternat Med 2012; e642576
    PubMedGoogle Scholar
  • 16 Danhauer SC, Mihalko SL, Russel GB, Campbell CR, Felder L, Daley K, Levine EA. Restorative yoga for women with breast cancer: findings from a randomized pilot study. Psychooncology 2009: 360-368
    PubMedGoogle Scholar
  • 17 Degenhardt T, Harbeck N, Würstlein R. Individuelle Tumortherapie beim Mammakarzinom – Möglichkeiten der Vermeidung von Über- und Untertherapie unter besonderer Berücksichtigung zielgerichteter Therapien. Dtsch Z Onkol 2015; 47: 57-65
    PubMedGoogle Scholar
  • 18 Dhruva A, Miaskowski C, Abrams D, Acree M, Cooper B, Goodman S, Hecht FM. Yoga Breathing for Cancer Chemotherapy–Associated Symptoms and Quality of Life: Results of a Pilot Randomized Controlled Trial. J Altern Complement Med 2012; 18: 473-479
    CrossrefPubMedGoogle Scholar
  • 19 Diorio C, Schechter T, Lee M, O’Sullivan C, Hesser T, Tomlinson D, Piscione J, Armstrong C, Tomlinson G, Sung L. A pilot study to evaluate the feasibility of individualized yoga for inpatient children receiving intensive chemotherapy. BMC Complement Altern Med 2015; 15: 2
    CrossrefPubMedGoogle Scholar
  • 20 Duncan MD. Impact and outcomes of an Iyengar yoga program in a cancer centre. Curr Oncol 2008; 15: 72-78
    PubMedGoogle Scholar
  • 21 Feuerstein G, Wilber K. The Yoga Tradition: Its History, Literature, Philosophy and Practice. Prescott, Ariz.: Hohm Pr; 2001
    Google Scholar
  • 22 Field T. Yoga clinical research review. Complement Ther Clin Pract 2011; 17: 1-8
    CrossrefPubMedGoogle Scholar
  • 23 Fouladbakhsh JM, Davis JE, Yarandi HN. A pilot study of the feasibility and outcomes of yoga for lung cancer survivors. Oncol Nurs Forum 2014; 41: 162-174
    CrossrefPubMedGoogle Scholar
  • 24 Galantino ML, Greene L, Daniels L, Dooley B, Muscatello L, O’Donnell L. Longitudinal impact of yoga on chemotherapy-related cognitive impairment and quality of life in women with early stage breast cancer: a case series. EXPLORE J Sci Heal 2012; 8: 127-135
    PubMedGoogle Scholar
  • 25 Harder H, Parlour L, Jenkins V. Randomised controlled trials of yoga interventions for women with breast cancer: a systematic literature review. Support Care Cancer 2012; 20: 3055-3064
    CrossrefPubMedGoogle Scholar
  • 26 Hayes SC, Spence RR, Galvão DA, Newton RU. Australian Association for Exercise and Sport Science position stand: optimising cancer outcomes through exercise. J Sci Med Sport 2009; 12: 428-434
    CrossrefPubMedGoogle Scholar
  • 27 International Agency for Research on Cancer GLOBOCAN 2012: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012 [online]. http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx [12 Nov. 2014] (Zugriff am 15.09.2015)
    PubMedGoogle Scholar
  • 28 Kiecolt-Glaser JK, Bennett JM, Andridge R, Peng J, Shapiro CL, Malarkey WB, Emery CF, Layman R, Mrozek EE, Glaser R. Yoga’s impact on inflammation, mood, and fatigue in breast cancer survivors: a randomized controlled trial. J Clin Oncol 2014; 32: 1040-1049
    CrossrefPubMedGoogle Scholar
  • 29 Knols R, Aaronson NK, Uebelhart D, Fransen J, Aufdemkampe G. Physical exercise in cancer patients during and after medical treatment: a systematic review of randomized and controlled clinical trials. J Clin Oncol 2005; 23: 3830-3842
    CrossrefPubMedGoogle Scholar
  • 30 Leitlinienprogramm Onkologie der AWMF, Interdisziplinäre S3-Leitlinie für die Diagnostik, Therapie und Nachsorge des Mammakarzinoms. Deutsche Krebsgesellschaft e. V. 2012
    PubMedGoogle Scholar
  • 31 Lin K-Y, Hu Y-T, Chang K-J, Lin H-F, Tsauo J-Y. Effects of yoga on psychological health, quality of life, and physical health of patients with cancer: a meta-analysis. Evid Based Complement Alternat Med 2011; e659876-
    PubMedGoogle Scholar
  • 32 Loudon A, Barnett T, Piller N, Immink MA, Williams AD. Yoga management of breast cancer-related lymphoedema: a randomised controlled pilot-trial. BMC Complement Altern Med 2014; 14: 214
    CrossrefPubMedGoogle Scholar
  • 33 Mackenzie MJ, Carlson LE, Ekkekakis P, Paskevich DM, Culos-Reed SN. Affect and mindfulness as predictors of change in mood disturbance, stress symptoms, and quality of life in a community-Based Yoga Program for cancer survivors. Evid Based Complement Alternat Med 2013; e419496-
    PubMedGoogle Scholar
  • 34 McCall MC. In search of yoga: Research trends in a western medical database. Int J Yoga 2014; 7: 4-8
    CrossrefPubMedGoogle Scholar
  • 35 McNeely ML. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. Can Med Assoc J 2006; 175: 34-41
    CrossrefPubMedGoogle Scholar
  • 36 Michalsen A, Kessler C. Science-Based Yoga – Stretching Mind, Body, and Soul. Forsch Komplementärmedizin 2013; 20: 1-1
    PubMedGoogle Scholar
  • 37 Mustian KM, Sprod LK, Janelsins M, Peppone LJ, Palesh OG, Chandwani K, Reddy PS, Melnik MK, Heckler C, Morrow GR. Multicenter, randomized controlled trial of yoga for sleep quality among cancer survivors. J Clin Oncol 2013; 31: 3233-3241
    CrossrefPubMedGoogle Scholar
  • 38 Pan Y, Yang K, Wang Y, Zhang L, Liang H. Could yoga practice improve treatment- related side effects and quality of life for women with breast cancer? A systematic review and meta-analysis. Asia Pac J Clin Oncol 2015; Jan 6. DOI: 10.1111/ajco.12329. [Epub ahead of print]
    PubMedGoogle Scholar
  • 39 Raghavendra R, Nagarathna R, Nagendra H, Gopinath K, Srinath B, Ravi B, Patil S, Ramesh B, Nalini R. Effects of an integrated yoga programme on chemotherapy-induced nausea and emesis in breast cancer patients. Eur J Cancer Care (Engl) 2007; 16: 462-474
    CrossrefPubMedGoogle Scholar
  • 40 Rao MR, Raghuram N, Nagendra HR, Gopinath KS, Srinath BS, Diwakar RB, Patil S, Bilimagga SR, Rao N, Varambally S. Anxiolytic effects of a yoga program in early breast cancer patients undergoing conventional treatment: A randomized controlled trial. Complement Ther Med 2009; 17: 1-8
    CrossrefPubMedGoogle Scholar
  • 41 Sadja J, Mills PJ. Effects of yoga interventions on fatigue in cancer patients and survivors: a systematic review of randomized controlled trials. Explore N Y N 2013; 9: 232-243
    PubMedGoogle Scholar
  • 42 Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, GalvãO DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, Von Gruenigen VE, Schwartz AL. American College of Sports Medicine Roundtable on Exercise Guidelines for Cancer Survivors. Med Sci Sports Exerc 2010; 42: 1409-1426
    CrossrefPubMedGoogle Scholar
  • 43 Seeling S. Beratung von Patienten zur Symptomlinderung bei Nebenwirkungen von Chemotherapie. Leitfaden 2015; 4: 81-83
    PubMedGoogle Scholar
  • 44 Sengupta P. Health impacts of yoga and pranayama: a state-of-the-art review. Int J Prev Med 2012; 3: 444-458
    PubMedGoogle Scholar
  • 45 Sharma M, Haider T, Knowlden AP. Yoga as an alternative and complementary treatment for cancer: a systematic review. J Altern Complement Med 2013; 19: 870-875
    CrossrefPubMedGoogle Scholar
  • 46 Smith KB, Pukall CF. An evidence-based review of yoga as a complementary intervention for patients with cancer. Psychooncology 2009; 18: 465-475
    CrossrefPubMedGoogle Scholar
  • 47 Sohl SJ, Danhauer SC, Schnur JB, Daly L, Suslov K, Montgomery GH. Feasibility of a brief yoga intervention during chemotherapy for persistent or recurrent ovarian cancer. Explore N Y N 2012; 8: 197-198
    PubMedGoogle Scholar
  • 48 Spatz Levine AS, Balk JL. Yoga and quality-of-life improvement in patients with breast cancer: a literature review. Int J Yoga Ther 2012; 22: 95-100
    PubMedGoogle Scholar
  • 49 Stan DL, Collins NM, Olsen MM, Croghan I, Pruthi S. The Evolution of mindfulness-based physical interventions in breast cancer survivors. Evid Based Complement Alternat Med 2012; e758641-
    PubMedGoogle Scholar
  • 50 Taso C-J, Lin H-S, Lin W-L, Chen S-M, Huang W-T, Chen S-W. The effect of yoga exercise on improving depression, anxiety, and fatigue in women with breast cancer: a randomized controlled trial. J Nurs Res JNR 2014; 22: 155-164
    PubMedGoogle Scholar
  • 51 Vadiraja HS, Rao MR, Nagarathna R, Nagendra HR, Rekha M, Vanitha N, Gopinath KS, Srinath BS, Vishweshwara MS, Madhavi YS, Ajaikumar BS, Bilimagga SR, Rao N. Effects of yoga program on quality of life and affect in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial. Complement Ther Med 2009; 17: 274-280
    CrossrefPubMedGoogle Scholar
  • 52 Visovsky C. Muscle strength, body composition, and physical activity in women receiving chemotherapy for breast cancer. Integr Cancer Ther 2006; 5: 183-191
    CrossrefPubMedGoogle Scholar
  • 53 Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol 1988; 54: 1063-1070
    CrossrefPubMedGoogle Scholar
  • 54 Weis J, Domann U. Interventionen in der Rehabilitation von Mammakarzinompatientinnen – Eine methodenkritische Übersicht zum Forschungsstand. Rehabil 2006; 45: 129-145
    PubMedGoogle Scholar
  • 55 Weis J, Giesler JM. Rehabilitation for Cancer Patients. In: Goerling U, Hrsg. Psycho-Oncology. Berlin: Springer; 2014: 87-101
    CrossrefGoogle Scholar
  • 56 Wurz A, Chamorro-Vina C, Guilcher GMT, Schulte F, Culos-Reed SN. The feasibility and benefits of a 12-week yoga intervention for pediatric cancer out-patients. Pediatr Blood Cancer 2014; 61: 1828-1834
    CrossrefPubMedGoogle Scholar
  • 57 Zhang J, Yang K, Tian J, Wang C. Effects of yoga on psychologic function and quality of life in women with breast cancer: a meta-analysis of randomized controlled trials. J Altern Complement Med 2012; 18: 994-1002
    CrossrefPubMedGoogle Scholar